| Garnet Health Doctors Pc | |
|
707 E Main St Middletown NY 10940-2650 | |
| (845) 333-7575 | |
| (845) 333-7139 |
| Full Name | Garnet Health Doctors Pc |
|---|---|
| Speciality | General Practice |
| Location | 707 E Main St, Middletown, New York |
| Authorized Official Name and Position | Izabela Nowosielski (PRESIDENT) |
| Authorized Official Contact | 8453331329 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garnet Health Doctors Pc 707 E Main St Middletown NY 10940-2650 Ph: (845) 333-7575 | Garnet Health Doctors Pc 707 E Main St Middletown NY 10940-2650 Ph: (845) 333-7575 |
| NPI Number | 1093138851 |
|---|---|
| Provider Enumeration Date | 01/30/2014 |
| Last Update Date | 11/07/2024 |
| Medicare PECOS PAC ID | 8628293545 |
|---|---|
| Medicare Enrollment ID | O20140710000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093138851 | NPI | - | NPPES |
| 03861630 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | James J Weisbard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710063623 PECOS PAC ID: 3375438302 Enrollment ID: I20040218000949 |
| Provider Name | Rafik A El Sabrout |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285662643 PECOS PAC ID: 4880582410 Enrollment ID: I20040305001054 |
| Provider Name | Adrian Paraschiv |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730199894 PECOS PAC ID: 2163310400 Enrollment ID: I20040308001141 |
| Provider Name | Cleveland William Lewis |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1710984398 PECOS PAC ID: 9537058169 Enrollment ID: I20040312000221 |
| Provider Name | Mary E Barber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497843726 PECOS PAC ID: 6305839135 Enrollment ID: I20040406001694 |
| Provider Name | Sanjay D. Nerkar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548333198 PECOS PAC ID: 9133029820 Enrollment ID: I20040420001133 |
| Provider Name | Rekha Sivadas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174548309 PECOS PAC ID: 7517953342 Enrollment ID: I20040426000326 |
| Provider Name | Moataz Yousef Haggag |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508966565 PECOS PAC ID: 3971593633 Enrollment ID: I20040514000386 |
| Provider Name | Eric Martin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669412383 PECOS PAC ID: 5294726378 Enrollment ID: I20040518001578 |
| Provider Name | Behzad Maghsoudlou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669421525 PECOS PAC ID: 8022090372 Enrollment ID: I20040602000408 |
| Provider Name | Fauzia Paracha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174639751 PECOS PAC ID: 6103809637 Enrollment ID: I20040608000080 |
| Provider Name | Khin M Soe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548247596 PECOS PAC ID: 4981680493 Enrollment ID: I20040625000665 |
| Provider Name | Phone M Win |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194702100 PECOS PAC ID: 2062498579 Enrollment ID: I20040625000679 |
| Provider Name | Raghuram Gorti |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1679554224 PECOS PAC ID: 3779553391 Enrollment ID: I20040729001104 |
| Provider Name | Daniel E Galvin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780649343 PECOS PAC ID: 5092788158 Enrollment ID: I20040817000424 |
| Provider Name | Ravindra Kodali |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720006778 PECOS PAC ID: 6406899863 Enrollment ID: I20050607000583 |
| Provider Name | Martin A Kron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619968807 PECOS PAC ID: 8628007069 Enrollment ID: I20050809000233 |
| Provider Name | Irvelyne J Camille |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508851759 PECOS PAC ID: 8325078850 Enrollment ID: I20050815001005 |
| Provider Name | Srinivasa Edara |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629068218 PECOS PAC ID: 3779502364 Enrollment ID: I20051114000111 |
| Provider Name | Miriam E Villegas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356458277 PECOS PAC ID: 6800819111 Enrollment ID: I20060112000100 |
| Provider Name | Sukhdeep Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316176118 PECOS PAC ID: 3779507751 Enrollment ID: I20060117000964 |
| Provider Name | Eugene A Rezvin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174569982 PECOS PAC ID: 9032125174 Enrollment ID: I20060228000249 |
| Provider Name | Pamela J Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801884051 PECOS PAC ID: 4385699545 Enrollment ID: I20060501000767 |
| Provider Name | Izabela A Nowosielski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114973005 PECOS PAC ID: 9739184292 Enrollment ID: I20060916000054 |
| Provider Name | Jonathon A Rubin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245324359 PECOS PAC ID: 1557361185 Enrollment ID: I20070105000141 |
| Provider Name | Paola Mazzoni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336221563 PECOS PAC ID: 8123029055 Enrollment ID: I20070119000436 |
| Provider Name | Abdalla I. Adam |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295885374 PECOS PAC ID: 1052414687 Enrollment ID: I20070320000019 |
| Provider Name | Ilona Belinskaya |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376691949 PECOS PAC ID: 4880792860 Enrollment ID: I20070614000609 |
| Provider Name | Alison Sullivan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386852341 PECOS PAC ID: 9830283050 Enrollment ID: I20070919000529 |
| Provider Name | Lucy Palomino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871611319 PECOS PAC ID: 7214935725 Enrollment ID: I20071001000451 |
| Provider Name | Evaristo Akerele |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396897245 PECOS PAC ID: 2264528538 Enrollment ID: I20071017000873 |
| Provider Name | Janice Muir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598977555 PECOS PAC ID: 8325135080 Enrollment ID: I20071029000327 |
| Provider Name | Kaushal N Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659356715 PECOS PAC ID: 4082702741 Enrollment ID: I20071113000467 |
| Provider Name | Kathleen M Wesa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114965597 PECOS PAC ID: 1254420318 Enrollment ID: I20071128000173 |
| Provider Name | Atter M Shahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679739189 PECOS PAC ID: 8224103262 Enrollment ID: I20080826000518 |
| Provider Name | Shantie Devi Harkisoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376570952 PECOS PAC ID: 7618043803 Enrollment ID: I20080912000278 |
| Provider Name | Khin N Hnin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043475080 PECOS PAC ID: 9931276466 Enrollment ID: I20080924000515 |
| Provider Name | Christina Antoine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912012592 PECOS PAC ID: 9436214657 Enrollment ID: I20090223000026 |
| Provider Name | Amjad Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699935650 PECOS PAC ID: 8123196524 Enrollment ID: I20090302000598 |
| Provider Name | Bindu Pathrose |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346436094 PECOS PAC ID: 6103970884 Enrollment ID: I20090814000155 |
| Provider Name | Daniela Andreca |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093978157 PECOS PAC ID: 8628143963 Enrollment ID: I20090825000289 |
| Provider Name | Rhonda L D'agostino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184894578 PECOS PAC ID: 8628123098 Enrollment ID: I20090909000047 |
| Provider Name | Henry A Boateng |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316084866 PECOS PAC ID: 2567539042 Enrollment ID: I20091020000530 |
| Provider Name | Paramjeet Singh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477711810 PECOS PAC ID: 9032256565 Enrollment ID: I20091102000305 |
| Provider Name | Gerard J Galarneau |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235222936 PECOS PAC ID: 4284712712 Enrollment ID: I20100304000638 |
| Provider Name | Jothi Priya P Vaidyalingam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710931316 PECOS PAC ID: 8022143155 Enrollment ID: I20100315000851 |
| Provider Name | Michael Argenziano |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1922042332 PECOS PAC ID: 3971532268 Enrollment ID: I20100518000200 |
| Provider Name | Emma Fattakhov |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1871739276 PECOS PAC ID: 4486783800 Enrollment ID: I20100524000590 |
| Provider Name | Nicholas Eugene Brodyn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144334061 PECOS PAC ID: 6709871452 Enrollment ID: I20100916000576 |
| Provider Name | Melissa Druke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215256789 PECOS PAC ID: 9234255258 Enrollment ID: I20100928000593 |
| Provider Name | Yaw Owusu Baah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477710408 PECOS PAC ID: 4183805823 Enrollment ID: I20110301000036 |
| Provider Name | Najmi Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356307961 PECOS PAC ID: 1557359080 Enrollment ID: I20110314000861 |
| Provider Name | Anjana Poonthota |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417137696 PECOS PAC ID: 8022291467 Enrollment ID: I20110323000372 |
| Provider Name | Gowramma Shivashankar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093867079 PECOS PAC ID: 2264616572 Enrollment ID: I20110412000267 |
| Provider Name | Balveen Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164753745 PECOS PAC ID: 4183809718 Enrollment ID: I20110426000461 |
| Provider Name | Nadia M Mustafa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811169253 PECOS PAC ID: 7416017652 Enrollment ID: I20110914000073 |
| Provider Name | Kimtam Vaugeois |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821385980 PECOS PAC ID: 1456523562 Enrollment ID: I20111015000006 |
| Provider Name | Anila Khaliq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275818353 PECOS PAC ID: 1153595053 Enrollment ID: I20111110000308 |
| Provider Name | Erum S Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609172360 PECOS PAC ID: 6204093933 Enrollment ID: I20120207000624 |
| Provider Name | Aaron Quamina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184924631 PECOS PAC ID: 5294912705 Enrollment ID: I20121025000363 |
| Provider Name | Jaspreet Singh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598859217 PECOS PAC ID: 7810093101 Enrollment ID: I20121117000085 |
| Provider Name | Manouchehr Lavian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013922491 PECOS PAC ID: 5991691404 Enrollment ID: I20121206000320 |
| Provider Name | Tess-ann D Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215280268 PECOS PAC ID: 8921253071 Enrollment ID: I20130221000456 |
| Provider Name | Frantz M Duffoo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669544953 PECOS PAC ID: 0648417030 Enrollment ID: I20130501000644 |
| Provider Name | Amit Basu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013989326 PECOS PAC ID: 6103958764 Enrollment ID: I20130809000222 |
| Provider Name | Katherine Nora Fischkoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962660084 PECOS PAC ID: 0547403800 Enrollment ID: I20130905000618 |
| Provider Name | Luigi Pirelli |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1376749606 PECOS PAC ID: 8527201748 Enrollment ID: I20130906000503 |
| Provider Name | John S Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629381884 PECOS PAC ID: 8426283334 Enrollment ID: I20131031001116 |
| Provider Name | Audrey Christine Pendleton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164740304 PECOS PAC ID: 7012146970 Enrollment ID: I20140219000466 |
| Provider Name | Jodi L Galaydick |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1184803884 PECOS PAC ID: 0749323707 Enrollment ID: I20140219001147 |
| Provider Name | Sabai Phyu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407105158 PECOS PAC ID: 6901021963 Enrollment ID: I20140707001158 |
| Provider Name | Emir Hodzic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164715397 PECOS PAC ID: 1759524945 Enrollment ID: I20140922000894 |
| Provider Name | Nelli Gluzman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578970349 PECOS PAC ID: 1759501273 Enrollment ID: I20141006001273 |
| Provider Name | Jhosselini A Cardenas Mori |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1952614125 PECOS PAC ID: 4981825296 Enrollment ID: I20141029001155 |
| Provider Name | Nader Ganim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972741056 PECOS PAC ID: 9133341902 Enrollment ID: I20141111000960 |
| Provider Name | Douglas Odhiambo Ogumbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205227352 PECOS PAC ID: 2163740887 Enrollment ID: I20150409000784 |
| Provider Name | Daphne M Conde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538450986 PECOS PAC ID: 8426229485 Enrollment ID: I20150422001021 |
| Provider Name | Reena Mohindra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811955594 PECOS PAC ID: 7315122280 Enrollment ID: I20150425000432 |
| Provider Name | Amir Gendy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124361019 PECOS PAC ID: 4880913763 Enrollment ID: I20150427000660 |
| Provider Name | Jose Toro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154425791 PECOS PAC ID: 1557680030 Enrollment ID: I20150505001277 |
| Provider Name | Aamir M Gilani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003072612 PECOS PAC ID: 0749504082 Enrollment ID: I20150522000326 |
| Provider Name | Samer El Zarif |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306081443 PECOS PAC ID: 1456591676 Enrollment ID: I20150601001715 |
| Provider Name | Beth Hochman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487807590 PECOS PAC ID: 8628293586 Enrollment ID: I20150713000770 |
| Provider Name | Leroy C Floyd |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730403270 PECOS PAC ID: 5496985640 Enrollment ID: I20150811004906 |
| Provider Name | Chika Conrad Nwulu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730441460 PECOS PAC ID: 3375858491 Enrollment ID: I20150819007667 |
| Provider Name | Ryan A Punsalan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871852350 PECOS PAC ID: 3779899695 Enrollment ID: I20150908002099 |
| Provider Name | Joseph C Chavez Carey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366612863 PECOS PAC ID: 8820275738 Enrollment ID: I20150928002181 |
| Provider Name | David E Cohen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942264825 PECOS PAC ID: 0547578817 Enrollment ID: I20151006002561 |
| Provider Name | Annie Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043218795 PECOS PAC ID: 4082710520 Enrollment ID: I20160129002256 |
| Provider Name | Rita Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154362135 PECOS PAC ID: 3577590546 Enrollment ID: I20160204001212 |
| Provider Name | Mayur A Paralkar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679766232 PECOS PAC ID: 3678662780 Enrollment ID: I20160225000173 |
| Provider Name | Tehmina M Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952659161 PECOS PAC ID: 9931404175 Enrollment ID: I20160225000859 |
| Provider Name | Maryam Rakhmatullina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831328830 PECOS PAC ID: 6709182173 Enrollment ID: I20160310001353 |
| Provider Name | Shaneel S Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740419662 PECOS PAC ID: 2466750062 Enrollment ID: I20160415000012 |
| Provider Name | Saravanan Ramalingam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114163706 PECOS PAC ID: 6406155670 Enrollment ID: I20160422001275 |
| Provider Name | Nkiruka J Iloh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972851327 PECOS PAC ID: 7012207350 Enrollment ID: I20160527001430 |
| Provider Name | Gabriel Purice |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750656898 PECOS PAC ID: 8820248453 Enrollment ID: I20161028000802 |
| Provider Name | Edmund James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891170627 PECOS PAC ID: 1951680412 Enrollment ID: I20161128001538 |
| Provider Name | Emmanuel Obeng Nketiah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508180308 PECOS PAC ID: 5890924427 Enrollment ID: I20161227000312 |
| Provider Name | Emani Inez Wilmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225410921 PECOS PAC ID: 1951683762 Enrollment ID: I20170131000104 |
| Provider Name | Christina M Hahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891135869 PECOS PAC ID: 9234418633 Enrollment ID: I20170202000727 |
| Provider Name | Kausar Nazir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366681504 PECOS PAC ID: 6204094204 Enrollment ID: I20170224001664 |
| Provider Name | Yesenia Sanz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477082147 PECOS PAC ID: 8325317928 Enrollment ID: I20170712002777 |
| Provider Name | David C Morcos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073889978 PECOS PAC ID: 6305116229 Enrollment ID: I20170725002403 |
| Provider Name | Yohaimi E Cosme Ayala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811254782 PECOS PAC ID: 1456621317 Enrollment ID: I20170725004110 |
| Provider Name | Tonianne Motta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386165223 PECOS PAC ID: 0941571673 Enrollment ID: I20170731000083 |
| Provider Name | Sarabjit Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952791899 PECOS PAC ID: 2163794678 Enrollment ID: I20170817003888 |
| Provider Name | Nicholas Acierno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497299457 PECOS PAC ID: 9234401761 Enrollment ID: I20170818000116 |
| Provider Name | Bryan P Stanifer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1326213372 PECOS PAC ID: 1951674902 Enrollment ID: I20170913002446 |
| Provider Name | Lisa Braunwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558600536 PECOS PAC ID: 3870712268 Enrollment ID: I20171027001886 |
| Provider Name | Georgios N Asimis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407093537 PECOS PAC ID: 1254504517 Enrollment ID: I20180109001026 |
| Provider Name | Olanrewaju E Olukitibi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710384326 PECOS PAC ID: 8426312810 Enrollment ID: I20180511001195 |
| Provider Name | Latoya Marieca Byfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053634139 PECOS PAC ID: 2264797281 Enrollment ID: I20180522002691 |
| Provider Name | Karthika Raya Linga |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912253022 PECOS PAC ID: 8325287915 Enrollment ID: I20180620001758 |
| Provider Name | Reena Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508120932 PECOS PAC ID: 2769773563 Enrollment ID: I20180710000754 |
| Provider Name | Chujun Yuan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962820431 PECOS PAC ID: 4082961370 Enrollment ID: I20180718000257 |
| Provider Name | Ayfer Ekiz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427443795 PECOS PAC ID: 6204121742 Enrollment ID: I20180719002121 |
| Provider Name | Amir U. Islam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205322369 PECOS PAC ID: 8123376985 Enrollment ID: I20180810000129 |
| Provider Name | Subhash Krishnamoorthy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851650329 PECOS PAC ID: 1951650282 Enrollment ID: I20180821000419 |
| Provider Name | Laura Ann Guerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124516653 PECOS PAC ID: 3173873072 Enrollment ID: I20180913000568 |
| Provider Name | Ariana M Brooks-james |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669872149 PECOS PAC ID: 5092067090 Enrollment ID: I20181002001923 |
| Provider Name | Christine Scheuer Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821564329 PECOS PAC ID: 5496009250 Enrollment ID: I20181114000152 |
| Provider Name | Rogia M Rosemberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861964801 PECOS PAC ID: 0345589735 Enrollment ID: I20190301000719 |
| Provider Name | Erin Pintado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700332111 PECOS PAC ID: 5193065951 Enrollment ID: I20190314001772 |
| Provider Name | Susan Agugua-anyene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710442504 PECOS PAC ID: 1052651270 Enrollment ID: I20190325001920 |
| Provider Name | Kim Arrington |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932398724 PECOS PAC ID: 6204178841 Enrollment ID: I20190430002007 |
| Provider Name | Samuel Abourbih |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518340280 PECOS PAC ID: 5294041125 Enrollment ID: I20190501003121 |
| Provider Name | Rumana Rahmani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760738843 PECOS PAC ID: 7911273750 Enrollment ID: I20190503001527 |
| Provider Name | Charles Afful |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740661610 PECOS PAC ID: 2769725753 Enrollment ID: I20190514002706 |
| Provider Name | Eric Jarmon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639552300 PECOS PAC ID: 1850634874 Enrollment ID: I20190515000373 |
| Provider Name | Alicia Leandra Olowu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164873113 PECOS PAC ID: 9032442876 Enrollment ID: I20190610001507 |
| Provider Name | Kafilat Y Ojo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083020119 PECOS PAC ID: 7416280946 Enrollment ID: I20190614000986 |
| Provider Name | Robert Mark Lincer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851359681 PECOS PAC ID: 4981600178 Enrollment ID: I20190701000441 |
| Provider Name | Shiqing Yan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659630705 PECOS PAC ID: 4880850999 Enrollment ID: I20190705000161 |
| Provider Name | Varun Modi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295126670 PECOS PAC ID: 0446511570 Enrollment ID: I20190712001584 |
| Provider Name | Chidinma A Anamah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558757344 PECOS PAC ID: 6608114970 Enrollment ID: I20190812002819 |
| Provider Name | Christina Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346526498 PECOS PAC ID: 9436486511 Enrollment ID: I20190813000194 |
| Provider Name | Michael Ryan Rutter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902148281 PECOS PAC ID: 2062717754 Enrollment ID: I20190909001429 |
| Provider Name | Alyssa Danielle Melvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003463803 PECOS PAC ID: 7012246192 Enrollment ID: I20190916001593 |
| Provider Name | Iswarya Jagadesan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902259278 PECOS PAC ID: 1658601166 Enrollment ID: I20190926001101 |
| Provider Name | Irene Moloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114574373 PECOS PAC ID: 2567793409 Enrollment ID: I20191008002115 |
| Provider Name | Michael Morgan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619228699 PECOS PAC ID: 1759717317 Enrollment ID: I20200130002262 |
| Provider Name | Yulia Uvaydov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689217291 PECOS PAC ID: 1658709456 Enrollment ID: I20200310000194 |
| Provider Name | Khalilah Williams-perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932748746 PECOS PAC ID: 4284063868 Enrollment ID: I20200402000648 |
| Provider Name | Steven Mathew Byrne |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669823845 PECOS PAC ID: 7810328051 Enrollment ID: I20200504001003 |
| Provider Name | Kavneet Kaur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003201195 PECOS PAC ID: 2264863422 Enrollment ID: I20200504002022 |
| Provider Name | Shajiuddin Faraz Mohammed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437536182 PECOS PAC ID: 2567893589 Enrollment ID: I20200507000895 |
| Provider Name | Jezzreel Fabillar Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528697372 PECOS PAC ID: 1355772377 Enrollment ID: I20200507001022 |
| Provider Name | Jaewon Yoo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962930099 PECOS PAC ID: 8628499985 Enrollment ID: I20200522001761 |
| Provider Name | Nathalie Hirsch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316474810 PECOS PAC ID: 0648691063 Enrollment ID: I20200610001496 |
| Provider Name | John Savooji |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447684808 PECOS PAC ID: 8729400130 Enrollment ID: I20200611002516 |
| Provider Name | Matthew James Michaels |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073776548 PECOS PAC ID: 6204170772 Enrollment ID: I20200629000456 |
| Provider Name | Quais K Sayeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174043533 PECOS PAC ID: 3678996618 Enrollment ID: I20200708003472 |
| Provider Name | Christian De Elia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487184651 PECOS PAC ID: 4587087523 Enrollment ID: I20200708003482 |
| Provider Name | Ryan Omura |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801248828 PECOS PAC ID: 2365866381 Enrollment ID: I20200723002471 |
| Provider Name | Joel A Lichman Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194278069 PECOS PAC ID: 1850716549 Enrollment ID: I20200728003215 |
| Provider Name | Carlton I Glover |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083093942 PECOS PAC ID: 6800187212 Enrollment ID: I20200917000229 |
| Provider Name | Alyssa Fayth Basile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689147985 PECOS PAC ID: 3173862257 Enrollment ID: I20201002002257 |
| Provider Name | Mohamed Sayed Mohamed Ali |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568857415 PECOS PAC ID: 2668789686 Enrollment ID: I20201026002408 |
| Provider Name | Jean Gauvin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689801912 PECOS PAC ID: 6002066909 Enrollment ID: I20201201003136 |
| Provider Name | Farooq Mirza |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1396039368 PECOS PAC ID: 9133530611 Enrollment ID: I20201205000031 |
| Provider Name | Stephanie Pulikkottil Joseph |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548558133 PECOS PAC ID: 2668788308 Enrollment ID: I20210202001273 |
| Provider Name | Justin J Alvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770197329 PECOS PAC ID: 2961818810 Enrollment ID: I20210302000172 |
| Provider Name | Christine M Ierardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548852239 PECOS PAC ID: 9032525514 Enrollment ID: I20210308002161 |
| Provider Name | Michael A Britton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255970901 PECOS PAC ID: 2365859048 Enrollment ID: I20210324002168 |
| Provider Name | Sonal Bajaj |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831482447 PECOS PAC ID: 6901199652 Enrollment ID: I20210427001973 |
| Provider Name | Mannu Shergill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689103277 PECOS PAC ID: 4385053164 Enrollment ID: I20210506002652 |
| Provider Name | Scott M Woolf |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306290622 PECOS PAC ID: 4385053123 Enrollment ID: I20210507002328 |
| Provider Name | Michael Paul Wilson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922489269 PECOS PAC ID: 5890104590 Enrollment ID: I20210510002743 |
| Provider Name | Douglas James |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114330677 PECOS PAC ID: 2961811476 Enrollment ID: I20210513002379 |
| Provider Name | Shanza Khan Mahmood |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619355229 PECOS PAC ID: 8123337953 Enrollment ID: I20210513002380 |
| Provider Name | Romi Grover Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083149363 PECOS PAC ID: 9830599026 Enrollment ID: I20210609002042 |
| Provider Name | Bisundev Mahato |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235510405 PECOS PAC ID: 2860892387 Enrollment ID: I20210621000867 |
| Provider Name | Khin May Myat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366945180 PECOS PAC ID: 0042559031 Enrollment ID: I20210623001822 |
| Provider Name | Theodore Raymond Dage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205344868 PECOS PAC ID: 6002217221 Enrollment ID: I20210625000926 |
| Provider Name | Elton Llukani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982101614 PECOS PAC ID: 9537563473 Enrollment ID: I20210813002277 |
| Provider Name | Kurun Partap Singh Oberoi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972948669 PECOS PAC ID: 2769887462 Enrollment ID: I20210818002442 |
| Provider Name | John Sigva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093209520 PECOS PAC ID: 8729483433 Enrollment ID: I20210818002649 |
| Provider Name | Adeel Malik |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1790217008 PECOS PAC ID: 1355688730 Enrollment ID: I20210825002199 |
| Provider Name | George Shuxiong Chen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508211178 PECOS PAC ID: 6608293006 Enrollment ID: I20210908000464 |
| Provider Name | Katrina Leigh Grandolfo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275961260 PECOS PAC ID: 9739586728 Enrollment ID: I20210917000580 |
| Provider Name | Naveed Qasim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538656020 PECOS PAC ID: 6709283351 Enrollment ID: I20210923002183 |
| Provider Name | Kyra Catherine Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558038372 PECOS PAC ID: 1557759768 Enrollment ID: I20211020002078 |
| Provider Name | Danielle Marie Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487294898 PECOS PAC ID: 5799174256 Enrollment ID: I20211123000700 |
| Provider Name | David James Leu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487791521 PECOS PAC ID: 6709922776 Enrollment ID: I20211201001344 |
| Provider Name | Matthew T Mclaughlin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548569965 PECOS PAC ID: 4981823184 Enrollment ID: I20220114000262 |
| Provider Name | Kushang Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356834477 PECOS PAC ID: 8123358074 Enrollment ID: I20220312000352 |
| Provider Name | Bronwyn Holmes-mahtani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235626052 PECOS PAC ID: 8921495102 Enrollment ID: I20220419001451 |
| Provider Name | Yasmin Leigh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689120008 PECOS PAC ID: 8123415239 Enrollment ID: I20220420000349 |
| Provider Name | Mahesh Vasantha Madhavan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104244102 PECOS PAC ID: 5698011286 Enrollment ID: I20220420001165 |
| Provider Name | Eric Alatevi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669824132 PECOS PAC ID: 0244618783 Enrollment ID: I20220613000153 |
| Provider Name | Steven Vayalumkal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700375391 PECOS PAC ID: 0345629580 Enrollment ID: I20220620000513 |
| Provider Name | Muhammad Anas Farooqi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629559398 PECOS PAC ID: 8325427297 Enrollment ID: I20220623001092 |
| Provider Name | Anila Krovvidi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932761210 PECOS PAC ID: 7810377330 Enrollment ID: I20220630000694 |
| Provider Name | Stephen Wong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942293881 PECOS PAC ID: 7719922707 Enrollment ID: I20220712001107 |
| Provider Name | Brian Yost |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528036837 PECOS PAC ID: 0840230785 Enrollment ID: I20220718000452 |
| Provider Name | Andrew John Knauer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033647565 PECOS PAC ID: 8628450269 Enrollment ID: I20220729000935 |
| Provider Name | Naim Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942869474 PECOS PAC ID: 8123400629 Enrollment ID: I20220801000146 |
| Provider Name | Kaitlyn Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497311856 PECOS PAC ID: 9537542402 Enrollment ID: I20220810003344 |
| Provider Name | Daanish Chawala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104388792 PECOS PAC ID: 0941683536 Enrollment ID: I20220815001701 |
| Provider Name | Mohammad Nauman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831756626 PECOS PAC ID: 6800279373 Enrollment ID: I20220816001512 |
| Provider Name | Janpreet Mokha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548649023 PECOS PAC ID: 2668725938 Enrollment ID: I20220819000502 |
| Provider Name | Saqib Saeed |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1972944023 PECOS PAC ID: 9830592344 Enrollment ID: I20220825003679 |
| Provider Name | Hamfreth S U Rahming |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558866756 PECOS PAC ID: 5890030423 Enrollment ID: I20221004003252 |
| Provider Name | William Kyros |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740390087 PECOS PAC ID: 0749206118 Enrollment ID: I20221207000897 |
| Provider Name | Angela M Jacobs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144481425 PECOS PAC ID: 5698921344 Enrollment ID: I20221212002660 |
| Provider Name | Sheldon Barry Noble |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508206350 PECOS PAC ID: 9638549785 Enrollment ID: I20230105001843 |
| Provider Name | Mariano Brizzio |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851468508 PECOS PAC ID: 6901904192 Enrollment ID: I20230217001295 |
| Provider Name | Sylvan Roger Maginley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447702691 PECOS PAC ID: 8820463318 Enrollment ID: I20230414001928 |
| Provider Name | Jesse T Torbert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497815054 PECOS PAC ID: 0143490805 Enrollment ID: I20230602000706 |
| Provider Name | Lauren Ruth Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811430861 PECOS PAC ID: 3678931250 Enrollment ID: I20230614003223 |
| Provider Name | Tiffany Lin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376164368 PECOS PAC ID: 9032577382 Enrollment ID: I20230620001478 |
| Provider Name | Dawnette Massiel Urcuyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235511361 PECOS PAC ID: 3274882378 Enrollment ID: I20230622001488 |
| Provider Name | Utsav Timalsina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124633623 PECOS PAC ID: 6709246374 Enrollment ID: I20230713002808 |
| Provider Name | Luke T Riordan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639708662 PECOS PAC ID: 7214399211 Enrollment ID: I20230808001520 |
| Provider Name | Aditya Agarwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760042543 PECOS PAC ID: 5890159933 Enrollment ID: I20230908000109 |
| Provider Name | Kevin Chow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023402096 PECOS PAC ID: 1355650649 Enrollment ID: I20230921000597 |
| Provider Name | Justin Stufflebeam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215468608 PECOS PAC ID: 3971957036 Enrollment ID: I20230925000653 |
| Provider Name | Antonia Urciuoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811773617 PECOS PAC ID: 4082956339 Enrollment ID: I20231018002480 |
| Provider Name | Ammar Tarabichi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750941639 PECOS PAC ID: 0840524328 Enrollment ID: I20231020002684 |
| Provider Name | Sunaina Dias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043831795 PECOS PAC ID: 1052767373 Enrollment ID: I20231023003519 |
| Provider Name | Naomi Berezin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184042566 PECOS PAC ID: 9436497666 Enrollment ID: I20231031003167 |
| Provider Name | Kathleen Pressoir |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1710373162 PECOS PAC ID: 8628495587 Enrollment ID: I20231120001158 |
| Provider Name | Rena L Stewart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386696391 PECOS PAC ID: 0143227694 Enrollment ID: I20240121000163 |
| Provider Name | Jason R Rocha |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851542427 PECOS PAC ID: 2961682620 Enrollment ID: I20240221001005 |
| Provider Name | Karensa Mingione |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518521574 PECOS PAC ID: 4183098072 Enrollment ID: I20240409003155 |
| Provider Name | Selcen Senol |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124656947 PECOS PAC ID: 4082079462 Enrollment ID: I20240506004564 |
Jane V. Eason, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Orange Regional Medical Center, 60 Prospect Ave, Middletown, NY 10940 Phone: 845-343-2424 | |
Independent Medical Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18 Orchard St, Middletown, NY 10940 Phone: 845-381-5331 Fax: 731-201-5499 | |
Jenny Q. Lu, M.d., Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 75 Crystal Run Rd Ste 105, Middletown, NY 10941 Phone: 845-692-3542 Fax: 845-692-6939 | |
Gleneida Medical Care,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 453 Route 211 E, Middletown, NY 10940 Phone: 845-344-4040 Fax: 845-228-5485 | |
Crystal Run Medical Services Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 236 Crystal Run Rd, Suite 2, Middletown, NY 10941 Phone: 845-692-3100 Fax: 845-692-2402 | |
Orange Primary Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Dunning Rd, Middletown, NY 10940 Phone: 845-956-1222 |